Organization
MAZ II ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MVULA (MANAGER/PROVIDER)
(253) 433-1748
Entity
Organization
Contact information
Practice address
6612 5TH WAY SE, LACEY, WA 98503-7975
(360) 628-8920
(360) 359-7541
Mailing address
6612 5TH WAY SE, LACEY, WA 98503-7975
(360) 628-8920
(360) 359-7541
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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